Individual
DR. LARRY R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
235 RICHMOND ST, MT VERNON, KY 40456-0593
(606) 256-0242
Mailing address
235 RICHMOND STREET, POB 593, MT VERNON, KY 40456-0593
(606) 256-0242
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4003
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85001014
—
KY
Enumeration date
10/02/2006
Last updated
09/30/2015
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